# TANYA RENEE FISHER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255111290
- **Authorized official:** TANYA FISHER LSCSW (OWNER)
- **Authorized official phone:** (913) 522-1052

## Contact information

- **Practice address:** 11900 W 87TH STREET PKWY STE 130, LENEXA, KS 66215-4517
- **Practice address phone:** (913) 522-1052
- **Mailing address:** 11900 W 87TH STREET PKWY STE 130, LENEXA, KS 66215-4517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 10/05/2023